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Individual

ROBERT ALANSON LOCKWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
425 W BANNOCK ST, BOISE, ID 83702
(208) 343-6458
(208) 343-5031
Mailing address
1301 MEDICAL CENTER DR, THE VANDERBILT CLINIC, SUITE 1660, NASHVILLE, TN 37232-0128

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M-14072
ID

Other

Enumeration date
04/15/2011
Last updated
07/22/2019
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